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Gretell Dominguez Sr.

Behavior Technician in Miami, FL. Individual provider (NPI-1).

NPI number1013766476
StatusActive
Last updated in NPPESMay 16, 2024

Details

NPI
1013766476
Entity type
Individual (NPI-1)
Name
Gretell Dominguez Sr.
Sex
Female
Sole proprietor
Yes
Enumeration date
May 16, 2024
Certification date
May 16, 2024
Last updated
May 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician24-340307FLYes

Practice location

9402 Sw 77th Ave Apt L1
Miami, FL 33156-7971

Phone 786-295-9395

Mailing address

9402 Sw 77th Ave Apt L1
Miami, FL 33156-7971

Phone 786-295-9395

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